| NPI | 1295978567 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: IL 038011769) |
| Additional Taxonomies | 111N00000X Chiropractor (Licence: GA CHIRO08464) |
| 111N00000X Chiropractor (Licence: OH 4199) | |
| Enumeration Date | 2009-04-15 |
| Last Update Date | 2014-10-24 |